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A diaphragmatic hernia occurs when an abnormal opening in the diaphragm allows organs from the abdomen to move into the chest cavity. This opening can be present at birth (congenital) or develop later in life (acquired). Congenital diaphragmatic hernias are often identified during infancy, causing respiratory distress. On the other hand, acquired hernias may result from trauma or surgery.
The various types of Diaphragmatic Hernia are:
Congenital Diaphragmatic Hernia (CDH) is a condition that occurs during fetal development, where there is an abnormal opening in the diaphragm, the muscle that separates the chest from the abdomen. This opening allows organs such as the stomach, liver, and intestines to move into the chest cavity, hindering the normal growth of the lungs. CDH is not caused by anything the mother did during pregnancy; rather, it is a congenital anomaly that arises early in fetal life.
Iatrogenic Diaphragmatic Hernia refers to a condition where a hernia develops as a result of medical intervention or treatment. This type of hernia occurs unintentionally and is often associated with surgical procedures or medical interventions that inadvertently create an opening in the diaphragm, allowing abdominal organs to protrude into the chest cavity.
A traumatic diaphragmatic hernia (TDH) results from a severe trauma, such as a car accident or a forceful blow to the abdomen. Unlike congenital diaphragmatic hernias, which are present at birth, traumatic diaphragmatic hernias occur due to external injuries.
The diaphragm normally has an opening called the hiatus, through which the esophagus passes to connect with the stomach. However, in a hiatal diaphragmatic hernia, the stomach or other abdominal organs can slide or bulge through this opening, leading to various symptoms.
The most common symptoms of Diaphragmatic Hernia include:
Diaphragmatic Hernia can be diagnosed through:
Diaphragmatic hernia treatment options vary based on the severity of the condition. Mild cases may be managed through lifestyle modifications, such as avoiding heavy lifting and maintaining a healthy weight. However, more severe cases often necessitate medical intervention.
Surgical repair is a common approach for diaphragmatic hernias. During this procedure, the herniated tissue is repositioned, and the diaphragm is reconstructed to prevent future herniation. Laparoscopic surgery, a minimally invasive technique, is often preferred for its quicker recovery time and reduced postoperative discomfort.
In some instances, especially with smaller hernias, a watchful waiting approach may be adopted, with regular monitoring to assess any progression. Medications can be prescribed to alleviate symptoms like acid reflux.
Dr. K V Dinesh offers the best Diaphragmatic Hernia treatment in Hyderabad with over 10 years of expertise in the field of gastroenterology.
He has treated hundreds of patients with gastrointestinal disorders and has built a positive relationship with them. Dr. Dinesh and his team of gastroenterology specialists strive to provide quality treatments to those in need.
He strongly believes that surgery should only be considered as a last resort and prefers a holistic approach to treatment. He never recommends surgery if a disease can be treated entirely through the use of medications.